Suboxone question - should I take more?

[BlueSaffron]

I do about a gram a day of decent west coast tar... sometimes a little more than a gram. I did my last dope last night at 8pm, and at 7:30 am this morning I woke up pretty sick - sniffly, watering eyes, major body pain, cant sleep, depression, anxiety ect. I took 4mg. It made it better but then I kind of felt like I got sick again, it was weird. I got the snifflies and started feeling anxious and achey again, so at 1:30 pm I took another 2mg. I feel better, but I STILL don't feel 100% right.

My question is this: should I dose another 2mg? Is it possible I went into a tiny bit of precipitated withdrawals because I only waited 12 hours or so? I was pretty sick so I thought it would be ok.

I have 7 8mg pills - well 6 & 1/4 now, and I really want to do a rapid sub taper - maybe 8 mg today, 4 tomorrow, and keep reducing over the next week-ten days... but for today, is it ok to take 2 more mg for a total of 8?

 

[wezface]

You won't go into precipitated withdrawal doing more suboxone as long as it's the suboxone/naloxone and not the subutex (bupe). If you were doing a gram a day it's likely you'll need at least 8mg/daily to feel right.

 

[lazylazyjoe]

You're not gonna feel 100% for atleast 2 days. Induction is never pleasant.

Try and keep your dose as low as you can. In a couple days, you'll be adjusted and be ok.

 

[wezface]

You're not gonna feel 100% for atleast 2 days. Induction is never pleasant.

Try and keep your dose as low as you can. In a couple days, you'll be adjusted and be ok.

I dunno, I've transitioned fairly seamlessly before with the right dosage. But if the OP wants to go down as soon as possible than it's probably best to just stick it out and stay ahead of the worst of the DTs

 

[mostly-human]

You're not gonna feel 100% for atleast 2 days. Induction is never pleasant.

Try and keep your dose as low as you can. In a couple days, you'll be adjusted and be ok.

I almost completely agree with this; regardless of how much bupe you take, coming off a gram a day is always going to be a bit shit for the first couple days, the bupe WILL allow you to get to work and what-not, but it still won't be pleasant, by any means, that is coming from experience.

Also coming from experience, I'd imagine you'd probably feel a bit better on 10-16mg for the first couple days, you can do that and then very rapidly drop and adjust to 4-8mg no problems and rapidly after that drop to 1-2mg if you desire. Although, you're probably better off sticking on 4-8mg if you want it to keep you from using, not just keep you from being sick.

 

[black kat]

Switching from H to bupe cant be completely comfortable for the first days,you wont be in pain and your brain will remain calm for the most part but chills,some runny nose and possibly some RLS and insomnia will be still there.I dont think any amount of bupe above 4-8mgs will make you feel any better(maybe psychologically only).
Usually its not recommended but what i did and helped when i recently got on bupe maintainance was to do a tiny bit of H the first couple of days-obviously after taking the sub,a small dose will help with the extra WDs the bupe wont cover.
You will feel a little better,but no point in taking more than that small dose cause as you prolly know already the sub will block the effect of other opiates and you wont get high.

If you can do that for the first 1 or 2 days until you get more comfortable being on the bupe and then just focus on that,great,but if you think this is gonna lead to further opiate abuse and wont be able to stop after day 2 i guess its better to avoid it and dont mess up your recovery plan.

 

[Effect]

Transition gets more difficult the more times you go back and forth.

 

[Zory191]

I went cold turkey of a gram of day of west coast tar (IV) I went cold turkey. I went in WD and took 8 mg and was still absolutely miserable. I ended up taking 3 8 mgs subs the first 24 hours and more did not do it. I wished I had saved it for like day 3 4 5 and 6. Those were the days I was barley starting to get better a little bit. And it would have been nice to have after 3 days of no opiates because your tolerance has gone down significantly to where bupe will actually give you that energetic feeling and relieve the depression hopefully. Then I think it would have helped me get through those days of zero energy but still having some things I needed to go out and do. The period where you start to slowly hatch from the cacoon you've been stuck in for God knows how long. That's when I think would be the best time to use it. And just small doses. Maybe 4mg the 4th day of no opiates then 4 the 5 then 2 the 6th and 7th. I think if you used low enough doses after 3-4 days of cold turkey I don't think there would be another nightmare withdrawl after the bupe. Idk something like that. Benzos are better in the first the 3-4 days I think becuase they help calm you down And lower blood pressure and heart rate and help regulate the sweats and chills a bit. And most importantly help you sleep becaause for me that's what makes everything so much worse. My theory is you gotta get through 3 days, (4 is my recommendation)of withdraw with no opiates. Let your brain reconfigure a little bit (you'd be surprised how much it does in 3 days of no using)and actaully let your opiate receptors realize there are to many of them and they aren't getting filled again. Definitely not the way heroin invades them like a flood.Your tolerance will have dropped significantly In a full 72 hours of WD. Once your first dose of bupe kicks in and you'll probably have a huge appetite since you most likely havnt eatin much. You'll feel a lot more human again.

 

[BlueSaffron]

THank you everyone. I ended up taking 8mg and still felt pretty off, but monday was better and by tuesday I felt pretty normal.

This is what ive dosed so far:

sunday 8mg
monday 6mg (2 in the am, 2 around 1pm 2 at 4pm)
tuesday 4 mg (2 at 7:30 am 2 at 5pm)
weds (today) 4mg (2 at 7:30 am 2 at 4pm)

I have 4 and 1/4 8mg pills left

Does anyone have any ideas about a taper schedule? I was going to do 3 mg today - have the afternoon dose just be 1 mg - but I felt really down and no energy today so I said fuck it and took the 2. I could probably get more but I'm not sure, and it would take a few days probably...

I don't want to reduce tomorrow because it's thanksgiving and I have a lot to do... but maybe 2 in the am on friday and 1 in the pm? or should I be more aggressive and take 1 mg in the am and 1 in the pm on fri?